powerpoint-presentation · 2016-08-19 · breaking down silos: collaboration across and among...
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http://kfsk.se/english/
http://www.skane.se/en/
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http://is.jrc.ec.europa.eu/pages/TFS/SIMPHS3.html
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http://webbutik.skl.se/sv/artiklar/aldreomsorg/index.html
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•Preventative care- Senior Alert Register
•Good care in the final stages of life - Swedish Register of Palliative Care
•Good care for persons with dementia- SveDem & BPSD Register
•Good drug therapy -Inappropriate medication/Antipsychotics/NSAIDs
•Coordinated health and social care-Readmissions within 30 days/Avoidable admissions
•Mental health - MHFA Elderly (http://ki.se/en/nasp/instructor-training-mhfa-mental-health-first-aid)
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The purpose of Swedish quality registers
”…systematically and och continuously improve and secure the quality of health care”
(Patientdatalagen kap 7/Patient Act ch. 7)
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Target for Senior alert
Health promotion
in the general population
Care, treatment
and rehabilitation of injuries
Detect risks and prevent injuries
in the old population
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Senior alert is aboutsimultaneous prevention of
Tunstallbloggen Blogspot.se
www.gp.se
Falls
Pressure
ulcers
Bad oral health
Malnutrition
Incontinence
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The care preventive processof Senior alert
Care contact
RiskAssessmentregistrationPressure ulcerWeight registration
Team basedanalysis and interventionplanregistration
Preventive interventions
Team basedevaluation(incl. Pressure
ulcer + Weight)registration
Leaving thecaregiver – infoto next one?
Reflect on results and do improvement work
Every year (at least)
revision
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Four interconnected processes
Register in a quality register
Work procedures
Improvement work
Reflect and analyze the
results
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http://kvalitetsportal.se
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https://www.youtube.com/watch?v=hXkG2ESDE1o
Margareta’s way
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EIP-AHAEuropean Innovation Partnership on
Active and Healthy Ageing
https://webgate.ec.europa.eu/eipaha
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Main goal & health objective by 2020+2 HEALTHY LIFE YEARS
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Prevention, screening
& early diagnosis
Care & Cure Active ageing &
independent living
•Health literacy, patient
empowerment, ethics and
adherence
•Personal health
management
•Prevention, early
diagnosis of functional
and cognitive decline
•Guidelines for care,
workforce
(multimorbidity,
polypharmacy, frailty
and collaborative care)
•Multimorbidity and R&D
•Capacity building and
replicability of successful
integrated care systems
•Assisted daily living for
older people with
cognitive impairment
•Flexible and
interoperable ICT
solutions for active and
independent living
•Innovation improving
social inclusion of older
people
Vision / Foundation
•Focus on holistic and multidisciplinary approach
•Development of dynamic and sustainable care
systems of tomorrow
•New paradigm of ageing
•Innovation in service of the elderly people
•Regulatory and standardisation conditions
•Effective funding
•Evidence base, reference examples, repository for age-friendly
innovation
•Marketplace to facilitate cooperation among various stakeholders
Horizontal issues
Strategic reference framework
A2
A3
A1
B3
C2
D4 age-friendly environments
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Skåne’s engagementis in both strands
Action Groups:
A1: Adherence to medicalplans
A2: Fall prevention
B3: Integrated care
Reference Site:
Better life for the most sick elderly
SIHA platform (Skåne Innovation Healthy Ageing)
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Main achievements Breaking down silos: collaboration across and among triple helix stakeholders
Extensive repository of good practices
Scaling-up Assessment tools Classifying good practices Develop an integrated on-line database Low involvement of central and eastern EU countries
Challenges
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Access to funds
Structural Funds INTERREGHorizon 2020Health programme